Intellect & DHID Joint Plan
Creating a healthy and vibrant market in Healthcare IT
2nd May 2012
Agenda
• Objective
• Background to the Joint Plan
• Introducing the team
• Current Status
– Overview
– Information Strategy
– Information Governance
– Standards, Requirements, Accreditation
– Procurement
• Next Steps
Joint Plan Ultimate Objective:
Deliver more benefit to patients
Suppliers
Solutions
Users
Benefit
to patients
Suppliers provide the IT solutions that the NHS use to care for patients
The more effectively we work together in a healthy and vibrant market
the greater the patient benefit we will deliver
Background
• NHS National Programme for IT (NPfIT) ran from 2001-2011
– Provision of key national systems (e.g. Spine, Choose and Book, N3)
– Central purchase/provision of local systems (LSP Care Records and PACS)
– Partial market coverage achieved
• Open Market announced September 2011
– DHID/Intellect partnership to help foster a “healthy and vibrant market”
– Draft DHID/Intellect Joint Plan published for consultation November 2011
• Initial Version Joint Plan published January 2012
– Senior Managers appointed to lead workstreams
– Workstreams considered the key issues in more depth
– Initial progress reports produced including initial recommendations
Introductions
Programme Sponsors
Katie Davis, MD NHS Informatics, DH
Julian David, Director General, Intellect
Programme Co-Leads
Jon Lindberg, Head of Healthcare, Intellect (Int)
Peter Dyke, Head of Industry Liaison, DH Informatics
Information Strategy
Henry Pares (DH)
Jon Lindberg (Int)
Standards,
Requirements & Accreditation
Mark Reynolds (DH)
Mark Treleaven (Int)
Information Governance
Kathy Mason (DH)
Martin Strange (Int)
Informed Customer
Deborah El-Sayed (DH)
Margaret Edwards (Int)
Procurement
Peter Dyke (DH)
Eddy Peers (Int)
Workstream Status
Information Strategy
Information Governance/Information Sharing
Standards/Requirements/Accreditation
Procurement
Informed Customer
Market Position Measurement
G
G
A/G
G
A/G
A/G
Information Strategy Workstream
Jon Lindberg
Head of Healthcare, Intellect
www.intellectuk.org/healthcare
Developing and promoting industry
positions
• Industry response to Information Revolution consultation January 2011
• Led to industry – DH/NHS workshops throughout 2011: information security and
governance; technology strategy; patient information and access; interoperability
• In December 2011 industry/DH ran 3 targeted workshops to help inform the development
of the information strategy:
- People’s access to their health and care records
- Capturing data once and sharing
- Information Governance
• Identified further work during January – March to support the deliver of the strategy: digital
identity, national infrastructure services, interoperability / core minimum standards, and
specific technology solutions
• Culminated in industry paper outlining recommendations and industry views and a case
study library to be published alongside strategy
• Next phase: follow launch with implementation plan, working with local NHS, Social Care,
managers and clinicians, and patient representatives.
Information Governance
Workstream
Martin Strange
Head of Information Governance &
Caldicott Guardian, Lloyds Pharmacy
The Problem: from personal experience at
Lloydspharmacy • We develop our own Patient
Record software incl. NPfIT EPS
and PDS links
• Existing commercial and
professional constraints
• Historical decisions and
architectures
• Engagement with the developing
standards for spine connection
and IG – then the CAP process
• RPS ethical standards – ill defined
in IG and IT terms
• Not green field IT, we start from a
different position
• Securing laptop and mobile data – • Our Risk:Cost analysis may be
encryption
• 14% of this countries dispensing
data – little used
different – different brand value
• DPA and IG concerns holding
back our proactive use of data for
patient benefit
The work done so far:
• A consolidated guide to the IG and security
requirements for spine connection – the draft IG
Baseline Specification - available now
• Preliminary feedback of industry issues and
perceptions
• A new draft standard for Pseudonymisation of
Patient Data from the Information Centre
What are our next steps?:
• Continue to collate industry issues as fed back to us
• Take feedback to the draft IG Baseline Specification
• Input and react to the Caldicott Review
• Develop a forum for suppliers and their customers to
understand the requirements of IG and the
opportunities arising from the Caldicott Review
Standards, Requirements and
Accreditation
Mark Reynolds
Director, Information Standards Board Service
www.isb.nhs.uk
Procurement Workstream
Peter Dyke
Head of Industry Liaison
NHS Conecting for Health
www.connectingforhealth.nhs.uk/industry
Procurement Workstream:
Just some of the input we had…
“Formulate effective national contract Ts & Cs
that are easy to call off....and incorporate
standards based interoperability”
“An environment where ICT is regarded as valuable
and within normal processes rather than a
risky and a painful addition”
“Arm's length working: reluctance to engage
other than by email and forms. Due to fear
of transgressing procurement rules and lack
of confidence in knowledge of what they are buying”
“Protracted timeframes”
“Fast shortlisting to get to meaningful dialogue with a few quite quickly”
“Improve sponsorship
extending it from IM&T to
wider management”
“SMEs disadvantaged”
“We need more multi vendor frameworks..”
“Good is when you get awarded single tender or
have enough senior level relationships that mean you
never have to go through the procurement process”
“Notwithstanding OJEU allow Trusts to engage with
innovative suppliers to bring them on board in a rapid
and cost effective manner. Allow Trusts to help them
scale their products as joint partnerships”
Most of the time we are united in delivering
benefit to staff and patients
Benefit
Procurement
Procurement
(decide to stay)
Procurement
(decide to change)
New solution delivers greater
benefits over many years
Current solution delivers benefit
over many years
Time
Procurement:
Our thoughts and next steps..
See our report for full details, but the following would appear to be of some help:
1.
Publish the Business Case process for all to understand
2.
Refresh/update and publish “standard” commercial terms
3.
Openly publish requirements for commonly used modules
4.
Reconsider framework contracts for the various market segments
5.
Provide a programme of support for procurement staff (across customer and supplier
sides of the process).
Full report and next steps
• Full report published at
www.intellectuk.org/healthcare
www.connectingforhealth.nhs.uk/industry/support
• ALL comments welcome
• Subject to ongoing support/approval, develop delivery plans and
implement during 2012
• Next quarterly update: July 2012
Questions